Individual provider Active NPI

Jan Lucas Nosse

  • Physical Therapist
  • Wauwatosa, WI
National Provider Identifier
1750457545
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1270 Issued in WI
Practice address
2345 N 114TH St
Wauwatosa, WI 53226-1225
Phone
(414) 453-0135
NPI assigned
Nov 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1270 WI Primary

Addresses

Primary practice location

2345 N 114TH St
Wauwatosa, WI 53226-1225

Mailing address

2345 N 114TH St
Wauwatosa, WI 53226-1225
Phone (414) 453-0135

Other identifiers 1

IdentifierTypeStateIssuer
40092200MedicaidWI

Other names 1

  • Jan Elizabeth Lucas Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1270WIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Motion Physical Therapy, LLC Physical Therapist Past Accepting new patients
Orthopedic Surgeons of Wisconsin, S.C. Physical Therapist Past Accepting new patients
In- Home Rehab Southeastern Physical Therapist Past Accepting new patients
LJN Therapy, SC Physical Therapist PastSince Feb 11, 1987 Accepting new patients
Mueller Therapy, Inc. Physical Therapist Past Accepting new patients
Back-N-Action Physical Therapy and Rehab Specialists Physical Therapist Past Accepting new patients

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1750457545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2345 N 114TH ST",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532261225",
            "telephone_number": "414-453-0135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2345 N 114TH ST",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532261225",
            "telephone_number": "414-453-0135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOSSE",
        "first_name": "JAN",
        "middle_name": "LUCAS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-26",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "1270",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40092200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAN",
            "last_name": "LUCAS",
            "middle_name": "ELIZABETH",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wauwatosa, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.